O+G
SEXUAL ASSAULT
PromptUnderage SA - competence criteria to refuse police involvement/refuse to contact parents
ResponseMust be gillick competent as per fraser/gillick ruling
Establish if patient has sufficient intelligence, maturity and understanding of decision to be made
If patient does NOT fulfull this, then
Legal guarding must be contacted
If no legal guardian inform department of child protection (DCJ in NSW?)
Establish if patient has sufficient intelligence, maturity and understanding of decision to be made
If patient does NOT fulfull this, then
Legal guarding must be contacted
If no legal guardian inform department of child protection (DCJ in NSW?)
PromptIndications to involve police
ResponseIf patient prepared to pursue charges
Forrensic samples cannot be taken retrospectively. If samples taken can still decide not to pursue legal actions
Forrensic samples cannot be taken retrospectively. If samples taken can still decide not to pursue legal actions
PromptMedical concerns in SA
ResponseInjuries
Infectoin
Pregnancy - offer emergency contraception
Infectoin
Pregnancy - offer emergency contraception
PromptInvestigations in SA
ResponseBloods ? prior exposure to Hep B/C and HIV
Urine test for Chlamydia/gonorrhoea
High vaginal swabs ?chlamydia/gonorrhoea/trichomonas - MCS + PCR
urine/blood bHCG ? pregnant
Urine test for Chlamydia/gonorrhoea
High vaginal swabs ?chlamydia/gonorrhoea/trichomonas - MCS + PCR
urine/blood bHCG ? pregnant
PromptSex in at risk groups mgmt (Eg given in Q = autistic)
ResponseObtain history of social situation - ?long term partner, Contraception, STI risk
Offer contraception
Assess competence - SW/NOK/LMO may need to be involved
Safety netting on Discharge - has safe follow up plan
Offer contraception
Assess competence - SW/NOK/LMO may need to be involved
Safety netting on Discharge - has safe follow up plan